Combined periodontic-orthodontic-endodontic interdisciplinary approach in the treatment of periodontally compromised tooth

Deepa, D; Mehta, Dhoom Singh; Puri, Viren K; Shetty, Sadashiva

doi:10.4103/0972-124x.70837

Cited by 10 publications

(8 citation statements)

References 12 publications

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“…The fixed appliance allows easy splinting of teeth to achieve stable anchorage [23], so force magnitude must be reduced to minimum. According to Deppa [24], teeth alignment can be achieved by orthodontic soft aligners in periodontally involved teeth.…”

Section: Discussionmentioning

confidence: 99%

Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report)

Ristoska¹,

Dzipunova²,

Stefanovska³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: The advanced periodontal disease is characterised by a strongly pronounced loss of attachment and reduction of the alveolar bone support, which leads to luxation, migration of the teeth, functional discomfort and poor facial aesthetics. CASE PRESENTATION: The aim of this paper is to present the case of a 26-year-old female patient, registered at the Clinic of Periodontology with highly expressed gingivitis, unsatisfactory periodontal status, presence of diastemas between the frontal teeth and attachment loss of 5-6 millimetres in different areas. We conducted a thorough classic periodontal treatment, as well as training for proper maintenance of oral hygiene, with frequent professional oral-prophylactic sessions, complemented with orthodontic treatment. Fixed orthodontic appliances were installed, and mild forces were applied for gradual levelling of the teeth, with constant control of the periodontal status. After 20 months of treatment, the patient was in retention. CONCLUSION: Orthodontic therapy of periodontally-affected teeth can begin only after exhaustive administration of a periodontal treatment. Orthodontic treatment as an addition to the periodontal restoration must be gradual with mild forces for an optimal dental response, thus helping to improve function, facial aesthetics and psychological confidence of adult patients.

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Section: Discussionmentioning

confidence: 99%

Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report)

Ristoska¹,

Dzipunova²,

Stefanovska³

et al. 2019

Open Access Maced J Med Sci

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“…Deepa [43] reported the use of orthodontic soft aligners in repositioning a periodontally involved tooth. Light and intermittent forces generated by the soft aligner allow regeneration of tissue during tooth movement.…”

Section: Contribution Of Orthodontics To Periodontal Therapymentioning

confidence: 99%

Periodontal Health and Orthodontics

Sebbar¹,

Abidine²,

Laslami³

et al. 2015

Emerging Trends in Oral Health Sciences and Dentistry

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“…1 The current periodontal treatments are generally succeed in removing the pathogenic bacterial and arrest the progress of periodontal disease destruction. 2 This includes the formation of a new connective tissue attachment, new cementum and supporting bone. 3 However, to restore the structure and function of the periodontium is still a challenge for dental professionals.…”

Section: Introductionmentioning

confidence: 99%

A novel porcine acellular dermal matrix scaffold used in periodontal regeneration

et al. 2013

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Regeneration of periodontal tissue is the most promising method for restoring periodontal structures. To find a suitable bioactive three-dimensional scaffold promoting cell proliferation and differentiation is critical in periodontal tissue engineering. The objective of this study was to evaluate the biocompatibility of a novel porcine acellular dermal matrix as periodontal tissue scaffolds both in vitro and in vivo. The scaffolds in this study were purified porcine acellular dermal matrix (PADM) and hydroxyapatite-treated PADM (HA-PADM). The biodegradation patterns of the scaffolds were evaluated in vitro. The biocompatibility of the scaffolds in vivo was assessed by implanting them into the sacrospinal muscle of 20 New Zealand white rabbits. The hPDL cells were cultured with PADM or HA-PADM scaffolds for 3, 7, 14, 21 and 28 days. Cell viability assay, scanning electron microscopy (SEM), hematoxylin and eosin (H&E) staining, immunohistochemistry and confocal microscopy were used to evaluate the biocompatibility of the scaffolds. In vitro, both PADM and HA-PADM scaffolds displayed appropriate biodegradation pattern, and also, demonstrated favorable tissue compatibility without tissue necrosis, fibrosis and other abnormal response. The absorbance readings of the WST-1 assay were increased with the time course, suggesting the cell proliferation in the scaffolds. The hPDL cells attaching, spreading and morphology on the surface of the scaffold were visualized by SEM, H&E staining, immnuohistochemistry and confocal microscopy, demonstrated that hPDL cells were able to grow into the HA-PADM scaffolds and the amount of cells were growing up in the course of time. This study proved that HA-PADM scaffold had good biocompatibility in animals in vivo and appropriate biodegrading characteristics in vitro. The hPDL cells were able to proliferate and migrate into the scaffold. These observations may suggest that HA-PADM scaffold is a potential cell carrier for periodontal tissue regeneration.

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Combined periodontic-orthodontic-endodontic interdisciplinary approach in the treatment of periodontally compromised tooth

Cited by 10 publications

References 12 publications

Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report)

Orthodontic Treatment of a Periodontally - Affected Adult Patient (Case Report)

Periodontal Health and Orthodontics

A novel porcine acellular dermal matrix scaffold used in periodontal regeneration

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